E0265
HCPCS Procedure Code
HCPCS code E0265 is the #2,587 most-billed Medicaid procedure code, with $4.8M in payments across 87K claims from 2018–2024. The national median cost per claim is $41.12. Costs vary widely — the 90th percentile is $144.32 per claim, 3.5× the median.
Total Paid
$4.8M
0.00% of all spending
Total Claims
87K
Providers
83
Avg Cost/Claim
$55
National Cost Distribution
How much do providers bill per claim for E0265? Based on 82 providers billing this code nationally.
Median
$41.12
Average
$86.46
Std Dev
$186.33
Max
$1,346.71
Percentile Distribution (Cost per Claim)
50% of providers bill between $21.40 and $99.18 per claim for this code.
90% bill between $5.27 and $144.32.
Top 1% bill above $1,119.23.
About This Procedure
HCPCS code E0265 was billed by 83 providers across 87K claims, totaling $4.8M in Medicaid payments from 2018–2024. This code was used for 77K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$41.12
Providers Billing
82
National Spending
$4.8M
Avg/Median Ratio
2.10×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for E0265
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1447277264 | $777K |
| 2 | Apria Healthcare Llc Indianapolis, IN · Durable Medical Equipment & Medical Supplies | $775K |
| 3 | 1538669163 | $337K |
| 4 | 1710057500 | $309K |
| 5 | 1386688414 | $280K |
| 6 | Medcare Equipment Company, Llc Export, PA · Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies | $241K |
| 7 | 1164442901 | $178K |
| 8 | 1528066628 | $153K |
| 9 | 1871575563 | $147K |
| 10 | 1427153626 | $142K |
| 11 | 1730182023 | $106K |
| 12 | 1922006741 | $101K |
| 13 | 1215026083 | $82K |
| 14 | 1750331484 | $77K |
| 15 | 1770551228 | $75K |
| 16 | Med Star Surgical & Breathing Equipment Inc. Bronx, NY · Prosthetic/Orthotic Supplier | $65K |
| 17 | 1134303902 | $63K |
| 18 | 1659480424 | $54K |
| 19 | 1831293208 | $53K |
| 20 | 1629072665 | $53K |
Showing top 20 of 83 providers billing this code